Pablo Perez Lopez
@pabloplopez.bsky.social
🩺 UAM MD Y5 | 👥 Medical Student Leadership ACC | 🫀CNIC Student | 🗞️ SoMe Editor @escardio.bsky.social #CardioSky
#EHJCVI 🫀 Image Focus | Liver herniation to the pericardium 🤯👀 This case beautifully illustrates the importance of multimodality #CVImaging, particularly in rare, bizarre cases! #echofirst #CCT
⏩ Read more: doi.org/10.1093/ehjc... #MedSky
⏩ Read more: doi.org/10.1093/ehjc... #MedSky
January 29, 2026 at 5:27 PM
#EHJCVI 🫀 Image Focus | Liver herniation to the pericardium 🤯👀 This case beautifully illustrates the importance of multimodality #CVImaging, particularly in rare, bizarre cases! #echofirst #CCT
⏩ Read more: doi.org/10.1093/ehjc... #MedSky
⏩ Read more: doi.org/10.1093/ehjc... #MedSky
#EHJCVI 🫀 Who said LV filling pressures can’t be assessed by #whyCMR? 🤔 In this analysis of >450 patients with non-ischemic 🫀 disease, PCWP estimated by #whyCMR was a strong independent prognostic factor, enhancing risk stratification‼️⏩Read more: doi.org/10.1093/ehjc... #MedSky
January 28, 2026 at 5:22 PM
#EHJCVI 🫀 Who said LV filling pressures can’t be assessed by #whyCMR? 🤔 In this analysis of >450 patients with non-ischemic 🫀 disease, PCWP estimated by #whyCMR was a strong independent prognostic factor, enhancing risk stratification‼️⏩Read more: doi.org/10.1093/ehjc... #MedSky
#EHJCVI 🫀 An unusual cough in the pediatric setting... A 12-yr-old male presented with persistent cough. 👦 #echofirst and #CCT found a large LAA aneurysm, compressing the LV. After surgery, complete resolution of respiratory symptoms was achieved 🔍 doi.org/10.1093/ehjc... #MedSky
January 27, 2026 at 6:37 PM
#EHJCVI 🫀 An unusual cough in the pediatric setting... A 12-yr-old male presented with persistent cough. 👦 #echofirst and #CCT found a large LAA aneurysm, compressing the LV. After surgery, complete resolution of respiratory symptoms was achieved 🔍 doi.org/10.1093/ehjc... #MedSky
#EHJCVI 📢 New #EACVI Consensus Statement🚨 Role of multimodality imaging in the management of #HCM in 2025🫀In-depth, state-of-the-art document focusing on the role and advances of #CVImaging techniques in #HCM💡#echofirst #WhyCMR #CVNuclear #CCTV ⏩ doi.org/10.1093/ehjc... #MedSky
January 26, 2026 at 5:04 PM
#EHJCVI 📢 New #EACVI Consensus Statement🚨 Role of multimodality imaging in the management of #HCM in 2025🫀In-depth, state-of-the-art document focusing on the role and advances of #CVImaging techniques in #HCM💡#echofirst #WhyCMR #CVNuclear #CCTV ⏩ doi.org/10.1093/ehjc... #MedSky
#EHJCVI 🫀 Referral for intervention in aortic regurgitation, a classical clinical conundrum‼️ Current criteria may overlook early myocardial damage💡Time to integrate #whyCMR fibrosis metrics to personalize timing of valve intervention❓⏩Read more: doi.org/10.1093/ehjc... #MedSky
January 25, 2026 at 6:19 PM
#EHJCVI 🫀 Referral for intervention in aortic regurgitation, a classical clinical conundrum‼️ Current criteria may overlook early myocardial damage💡Time to integrate #whyCMR fibrosis metrics to personalize timing of valve intervention❓⏩Read more: doi.org/10.1093/ehjc... #MedSky
#EHJCVI 🫀 Prognosis in #Fabry disease - is there more to it than just the X count 🧬? Does LVH fully capture cardiac involvement in females with FD👩? 'Milder does not mean benign'⚠️The reaffirmed importance of sex-specific thresholds in FD ⏩ doi.org/10.1093/ehjc... #MedSky
January 23, 2026 at 6:08 PM
#EHJCVI 🫀 Prognosis in #Fabry disease - is there more to it than just the X count 🧬? Does LVH fully capture cardiac involvement in females with FD👩? 'Milder does not mean benign'⚠️The reaffirmed importance of sex-specific thresholds in FD ⏩ doi.org/10.1093/ehjc... #MedSky
#EHJCVI 🫀 How to choose between 2nd line therapies for HOCM ? 🤔 Mavacamten, but not disopyramide, ⬇️ LV mechanical dispersion and GWW, while ⬆️ GWE in a cohort of 120 #HCM pts ⚡Those under #CMI also showed fewer arrhythmic events. Read more: doi.org/10.1093/ehjc... #MedSky
January 22, 2026 at 8:10 PM
#EHJCVI 🫀 How to choose between 2nd line therapies for HOCM ? 🤔 Mavacamten, but not disopyramide, ⬇️ LV mechanical dispersion and GWW, while ⬆️ GWE in a cohort of 120 #HCM pts ⚡Those under #CMI also showed fewer arrhythmic events. Read more: doi.org/10.1093/ehjc... #MedSky
#EHJCVI 🫀 RV shape matters shape matters 📐New 3D echo–derived RV shape metrics reveal how geometry reflects haemodynamics and predicts outcomes beyond size and EF. Read more 👉 doi.org/10.1093/ehjc... #MedSky
January 21, 2026 at 5:49 PM
#EHJCVI 🫀 RV shape matters shape matters 📐New 3D echo–derived RV shape metrics reveal how geometry reflects haemodynamics and predicts outcomes beyond size and EF. Read more 👉 doi.org/10.1093/ehjc... #MedSky
#EHJCVI 🫀Left atrial enlargement isn’t always pathology, context matters. The LA:LV ratio (LAESV/LVEDV) helps separate adaptive from maladaptive remodelling: ≥0.75 suggests disproportionate LA remodelling (notably in AF/HFpEF). Read more 👉 doi.org/10.1093/ehjc... #MedSky
January 20, 2026 at 6:20 PM
#EHJCVI 🫀Left atrial enlargement isn’t always pathology, context matters. The LA:LV ratio (LAESV/LVEDV) helps separate adaptive from maladaptive remodelling: ≥0.75 suggests disproportionate LA remodelling (notably in AF/HFpEF). Read more 👉 doi.org/10.1093/ehjc... #MedSky
#EHJCVI 🫀Quantitative stress CMR can go beyond visual assessment, improving non-invasive decision-making. Fully automated MBF mapping helps distinguish CTO from severe stenosis and uncovers the true ischaemic burden in multivessel disease 👉doi.org/10.1093/ehjc... #MedSky
January 19, 2026 at 5:11 PM
#EHJCVI 🫀Quantitative stress CMR can go beyond visual assessment, improving non-invasive decision-making. Fully automated MBF mapping helps distinguish CTO from severe stenosis and uncovers the true ischaemic burden in multivessel disease 👉doi.org/10.1093/ehjc... #MedSky
#EHJCVI 🔍 Integrating CT, CMR, and PET-CT is critical for correctly distinguishing structural vs non-structural prosthetic valve dysfunction, detecting thrombosis or endocarditis, and guiding reintervention before clinical deterioration. Read more 👉 doi.org/10.1093/ehjc... #MedSky
January 11, 2026 at 5:35 PM
#EHJCVI 🔍 Integrating CT, CMR, and PET-CT is critical for correctly distinguishing structural vs non-structural prosthetic valve dysfunction, detecting thrombosis or endocarditis, and guiding reintervention before clinical deterioration. Read more 👉 doi.org/10.1093/ehjc... #MedSky
#EHJCVI 🧲 Is CMR redefining timing in chronic aortic regurgitation? A meta-analysis (~2,000 pts) shows CMR-derived AR fraction >33% is linked to ~4× higher risk, even in asymptomatic patients. CMR sharpens risk stratification beyond echo 👉 doi.org/10.1093/ehjc... #MedSky
January 5, 2026 at 8:26 PM
#EHJCVI 🧲 Is CMR redefining timing in chronic aortic regurgitation? A meta-analysis (~2,000 pts) shows CMR-derived AR fraction >33% is linked to ~4× higher risk, even in asymptomatic patients. CMR sharpens risk stratification beyond echo 👉 doi.org/10.1093/ehjc... #MedSky
#EHJCVI 🧲 Can imaging keep up with modern therapy in cardiac amyloidosis? CMR (ECV, T1 mapping) and SPECT detect treatment response earlier than echo or clinical markers, often months before functional change. Multimodality imaging is becoming central 👉 doi.org/10.1093/ehjc... #MedSky
January 2, 2026 at 5:08 PM
#EHJCVI 🧲 Can imaging keep up with modern therapy in cardiac amyloidosis? CMR (ECV, T1 mapping) and SPECT detect treatment response earlier than echo or clinical markers, often months before functional change. Multimodality imaging is becoming central 👉 doi.org/10.1093/ehjc... #MedSky
#EHJCVI 🎆✨ Wishing our cardiovascular imaging community a very Happy New Year 2026! 🫀🚀 Thank you for an inspiring year of science, collaboration, and innovation. Here’s to new discoveries, impact, and excellence ahead in 2026 🥂📈
January 1, 2026 at 5:00 PM
#EHJCVI 🎆✨ Wishing our cardiovascular imaging community a very Happy New Year 2026! 🫀🚀 Thank you for an inspiring year of science, collaboration, and innovation. Here’s to new discoveries, impact, and excellence ahead in 2026 🥂📈
#EHJCVI Number 1️⃣ 🏆👉 What’s the incremental value of CMR for risk stratification in non-dilated LV cardiomyopathy? 🫀🧲 Midwall LGE is a strong independent predictor of MAACE ⚠️ with an HR of 6.7 (1.33–33.67). More 👉 doi.org/10.1093/ehjc... #MedSky
December 31, 2025 at 5:00 PM
#EHJCVI Number 1️⃣ 🏆👉 What’s the incremental value of CMR for risk stratification in non-dilated LV cardiomyopathy? 🫀🧲 Midwall LGE is a strong independent predictor of MAACE ⚠️ with an HR of 6.7 (1.33–33.67). More 👉 doi.org/10.1093/ehjc... #MedSky
#EHJCVI Number 2️⃣ 👉 What are the recommendations for multimodality imaging of the LA and LAA? 🫀📘 This new consensus highlights techniques 🔍, integration into prognostic evaluation 📊, and periprocedural imaging to optimize outcomes ⚙️ More 👉 doi.org/10.1093/ehjc... #MedSky
December 30, 2025 at 5:00 PM
#EHJCVI Number 2️⃣ 👉 What are the recommendations for multimodality imaging of the LA and LAA? 🫀📘 This new consensus highlights techniques 🔍, integration into prognostic evaluation 📊, and periprocedural imaging to optimize outcomes ⚙️ More 👉 doi.org/10.1093/ehjc... #MedSky
#EHJCVI Number 3️⃣ 👉 What are the outcomes of non-ischaemic ring-like LGE on CMR? 🫀🧲 Although uncommon and non-specific across morpho-functional phenotypes, it is associated with genetic aetiologies 🧬 and a high burden of adverse outcomes ⚠️ 👉 doi.org/10.1093/ehjc... #MedSky
December 29, 2025 at 5:00 PM
#EHJCVI Number 3️⃣ 👉 What are the outcomes of non-ischaemic ring-like LGE on CMR? 🫀🧲 Although uncommon and non-specific across morpho-functional phenotypes, it is associated with genetic aetiologies 🧬 and a high burden of adverse outcomes ⚠️ 👉 doi.org/10.1093/ehjc... #MedSky
#EHJCVI Number 4️⃣ 👉 What’s the prognostic value of the left AV coupling index in heart failure? 🫀📊 In patients with HF and LVEF <50%, LACI is independently associated with adverse events after adjustment for multiple factors (HR 1.77) ⚠️ More 👉 doi.org/10.1093/ehjc... #MedSky
December 28, 2025 at 5:00 PM
#EHJCVI Number 4️⃣ 👉 What’s the prognostic value of the left AV coupling index in heart failure? 🫀📊 In patients with HF and LVEF <50%, LACI is independently associated with adverse events after adjustment for multiple factors (HR 1.77) ⚠️ More 👉 doi.org/10.1093/ehjc... #MedSky
#EHJCVI Number 5️⃣ 👉 What’s the effect of high-intensity statins on PCAT attenuation? 💊 They reduce PCAT attenuation in both statin-continued and statin-initiated patients 📉, in relation to LDL changes, after correction for CV risk factors 🫀 More 👉 doi.org/10.1093/ehjc... #MedSky
December 27, 2025 at 5:00 PM
#EHJCVI Number 5️⃣ 👉 What’s the effect of high-intensity statins on PCAT attenuation? 💊 They reduce PCAT attenuation in both statin-continued and statin-initiated patients 📉, in relation to LDL changes, after correction for CV risk factors 🫀 More 👉 doi.org/10.1093/ehjc... #MedSky
#EHJCVI Number 6️⃣ 👉 Have inter-vendor differences in GLS improved over the last 10 years? 🤔 Semi-automated endocardial and mid-/full-wall strain showed only a 0.6% bias 🧪 with a minimal detectable change of 2.5% when comparing six manufactorers📏 👉 doi.org/10.1093/ehjc... #MedSky
December 26, 2025 at 5:00 PM
#EHJCVI Number 6️⃣ 👉 Have inter-vendor differences in GLS improved over the last 10 years? 🤔 Semi-automated endocardial and mid-/full-wall strain showed only a 0.6% bias 🧪 with a minimal detectable change of 2.5% when comparing six manufactorers📏 👉 doi.org/10.1093/ehjc... #MedSky
#EHJCVI Number 7️⃣ 👉 What’s the incidence of structural valve deterioration after TAVI? 🫀 In this registry, 8-year incidence was 13.3% 📊, higher with balloon-expandable valves 🎈, and associated with increased HF hospitalizations and CV death ⚠️ 👉 doi.org/10.1093/ehjc... #MedSky
December 25, 2025 at 5:00 PM
#EHJCVI Number 7️⃣ 👉 What’s the incidence of structural valve deterioration after TAVI? 🫀 In this registry, 8-year incidence was 13.3% 📊, higher with balloon-expandable valves 🎈, and associated with increased HF hospitalizations and CV death ⚠️ 👉 doi.org/10.1093/ehjc... #MedSky
#EHJCVI Number 8️⃣ 👉 Can cardiac imaging provide a quantitative assessment of LV diastolic pressures? 📊 Combining LV volumes, LVGLS, LA reservoir strain, and MV flow velocities 📈 allows accurate pressure estimation🫀 More 👉 doi.org/10.1093/ehjc... #MedSky
December 24, 2025 at 5:00 PM
#EHJCVI Number 8️⃣ 👉 Can cardiac imaging provide a quantitative assessment of LV diastolic pressures? 📊 Combining LV volumes, LVGLS, LA reservoir strain, and MV flow velocities 📈 allows accurate pressure estimation🫀 More 👉 doi.org/10.1093/ehjc... #MedSky
#EHJCVI Number 9️⃣ 👉 How can we use multimodality cardiovascular imaging in Anderson–Fabry disease? 🧬 This expert consensus outlines its role from early diagnosis to therapy monitoring 🔍, including aspects such as sex differences 🫀 More 👉 doi.org/10.1093/ehjc... #MedSky
December 23, 2025 at 5:00 PM
#EHJCVI Number 9️⃣ 👉 How can we use multimodality cardiovascular imaging in Anderson–Fabry disease? 🧬 This expert consensus outlines its role from early diagnosis to therapy monitoring 🔍, including aspects such as sex differences 🫀 More 👉 doi.org/10.1093/ehjc... #MedSky
#EHJCVI Number 🔟 👉 New exercise echocardiography–based HFpEF criteria 🏃♂️A powerful combo: rest LA reservoir <20% 📉 + exercise septal E/e′ >13 📈 + exercise lung congestion 🫁 helps diagnose dyspnoeic HFpEF patients (AUC 0.9 ⭐, HR 1.17). More 👉 doi.org/10.1093/ehjc... #MedSky
December 22, 2025 at 5:00 PM
#EHJCVI Number 🔟 👉 New exercise echocardiography–based HFpEF criteria 🏃♂️A powerful combo: rest LA reservoir <20% 📉 + exercise septal E/e′ >13 📈 + exercise lung congestion 🫁 helps diagnose dyspnoeic HFpEF patients (AUC 0.9 ⭐, HR 1.17). More 👉 doi.org/10.1093/ehjc... #MedSky
